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General NPI Number Information
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NPI Number | 1972955193
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Entity Type | Organization
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Legal Business Name | APLUS MASSAGES
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 1699 WALL ST STE 106
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-5762
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Country | US
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Telephone | 847-627-8811
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Fax | 224-404-4182
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Provider Business Mailing Address
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Address Line | 1699 WALL ST STE 106
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-5762
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Country | US
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Telephone | 847-627-8811
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Fax | 224-404-4182
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID A MIMS
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Credential |
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Telephone | 847-627-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227013796
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License Number State | IL
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